31
F 990 Return of Organization Exempt From Income Tax OMB No 1545-0047 rm 2013 Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) lo- Do not enter Social Security numbers on this form as it may be made public . " Department of the Treasury " Internal Revenue Seance Information about Form 990 and its instructions is at www.rrs ov1form990. ' A For the 2013 calendar ear or tax year beg innin g Ma y 1 2013 and endin A ril 30 , 20 14 B Check if applicable- C Name of organization NAMI - Georg ia , Inc. D Employer identification number 0 Address change Doing Business As 58-1466482 q Name change Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone number q Initial return 3180 Presidential Dr. Suite A 770-234-0855 q Terminated City or town, state or province, country, and ZIP or foreign postal code q Amended return Atlanta GA 30340 G Gross receipts $ 555,819 q Application pending F Name and address of principal officer Jean Dervan , Interim Executive Director H(a) Is this a group return for subordinates q Yes Z No 3180 Presidential Dr., Atlanta , GA 30340 H(b) Are all subordinates included? El Yes El No I Tax-exempt status q 501(c)(3) El 501(c) ( ) 4 (insert no) -1 4947(a)(1) or q 527 If "No," attach a list (see instructions) J Website : H(c) Group exemption number K Form of organization Corporation q Trust q Association q Other L Year of formation 1982 M State of legal domicile GA Summary 1 Briefly describe the organization's mission or most significant activities: Promote volunteerism, public awareness, and provide advocacy! mentally_ ill individuals ----------------------------------------------------------------------------------------------------------- 10 ---------------------------------------------------------------------------------------------------------------------------------------------------------------------- 2 Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets. 0 3 Number of voting members of the governing body (Part VI, line 1 a) . . . . . . . . . 3 15 as 4 Number of independent voting members of the governing body (Part VI, line 1 b) . . . . 4 15 5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) . . . . . 5 5 2 6 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . 6 10 a 7a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . 7a 0 b Net unrelated business taxable income from Form 990-T, line 34 7b 0 Prior Year Current Year 8 Contributions and grants (Part VIII, line 1h) 1,696 ,815 445,835 c IE 9 Program service revenue (Part VIII, line 2g) CEIVC 1' 10 Investment income (Part VIII, column (A), 1 3, 4, and . . V 4,216 5,782 11 Other revenue (Part VIII, column (A), lines d, $9rc,(^ 0c,11e co . 86,799 66,725 12 Total revenue-add lines 8 through 11 (m qual Part VIII t7ltfhi4 ( 12) 1,787,830 518,342 13 Grants and similar amounts paid (Part IX Co es 1-3) . . . __ ir 14 Benefits paid to or for members (Part IX, . . . . e 15 Salaries, other compensation, employee benefits (Part IX, co , lines 5-10) 217,429 225,133 16a Professional fundraising fees (Part IX, column (A), line 11 e) . . . . . . a b Total fundraising expenses (Part IX, column (D), line 25) ------------------------ 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . . . . . 1,771,512 388,906 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) 1,988 ,941 614,039 19 Revenue less exp enses. Subtract line 18 from line 12 201,111 (95,697 ) om Beginning of Current Year End of Year m 20 Total assets (Part X, line 16) . . . . . . . . . . . . . . . . 443,493 322,913 21 Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . 63,291 37,353 . 22 Net assets or fund balances. Subtract line 21 from line 20 380,302 285,560 Signature Block Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge Sign ' Signature of o icer Here ' r Type or pant name and title Paid Pnnt/Type preparer' s name Preparer ' Wignatur Preparer Jame Use Only "Is Finn's May the IRS discus me James Dykhouse, CPA dress 330 Amherst CL, Atlanta , GA 30328 this return with the preparer shown above For Paperwork Reduction Act Notice, see the separate instructions.

Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

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Page 1: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

F 990 Return of Organization Exempt From Income TaxOMB No 1545-0047

rm

2013Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

lo- Do not enter Social Security numbers on this form as it may be made public . • " • •Department of the Treasury

"Internal Revenue Seance •► Information about Form 990 and its instructions is at www.rrs ov1form990. '

A For the 2013 calendar ear or tax year beginning May 1 2013 and endin A ril 30 , 20 14

B Check if applicable- C Name of organization NAMI - Georgia , Inc. D Employer identification number

0 Address change Doing Business As 58-1466482

q Name change Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone number

q Initial return 3180 Presidential Dr. Suite A 770-234-0855

q Terminated City or town, state or province, country, and ZIP or foreign postal code

q Amended return Atlanta GA 30340 G Gross receipts $ 555,819

q Application pending F Name and address of principal officer Jean Dervan , Interim Executive Director H(a) Is this a group return for subordinates q Yes Z No

3180 Presidential Dr., Atlanta , GA 30340 H(b) Are all subordinates included? El Yes El No

I Tax-exempt status q 501(c)(3) El 501(c) ( ) 4 (insert no) -1 4947(a)(1) or q 527 If "No," attach a list (see instructions)

J Website : ► H(c) Group exemption number ►

K Form of organization Corporation q Trust q Association q Other ► L Year of formation 1982 M State of legal domicile GA

Summary1 Briefly describe the organization's mission or most significant activities: Promote volunteerism, public awareness, and

provide advocacy! mentally_ ill individuals-----------------------------------------------------------------------------------------------------------

10----------------------------------------------------------------------------------------------------------------------------------------------------------------------

2 Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets.

0 3 Number of voting members of the governing body (Part VI, line 1 a) . . . . . . . . . 3 15as 4 Number of independent voting members of the governing body (Part VI, line 1 b) . . . . 4 15

5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) . . . . . 5 52 6 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . 6 10a 7a Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . 7a 0

b Net unrelated business taxable income from Form 990-T, line 34 7b 0Prior Year Current Year

8 Contributions and grants (Part VIII, line 1h) 1,696,815 445,835c

IE9 Program service revenue (Part VIII, line 2g) CEIVC1' 10 Investment income (Part VIII, column (A),

1

3, 4, and . . V 4,216 5,78211 Other revenue (Part VIII, column (A), lines d, $9rc,(^0c,11e co . 86,799 66,72512 Total revenue-add lines 8 through 11 (m qual Part VIII t7ltfhi4 ( 12) 1,787,830 518,34213 Grants and similar amounts paid (Part IX Co es 1-3) . . .

__ ir14 Benefits paid to or for members (Part IX, . . . .

e 15 Salaries, other compensation, employee benefits (Part IX, co • , lines 5-10) 217,429 225,13316a Professional fundraising fees (Part IX, column (A), line 11 e) . . . . . .

a b Total fundraising expenses (Part IX, column (D), line 25) ►------------------------

17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . . . . . 1,771,512 388,90618 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) 1,988,941 614,039

19 Revenue less expenses. Subtract line 18 from line 12 201,111 (95,697)o m Beginning of Current Year End of Year

m 20 Total assets (Part X, line 16) . . . . . . . . . . . . . . . . 443,493 322,913

21 Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . 63,291 37,353. 22 Net assets or fund balances. Subtract line 21 from line 20 380,302 285,560

Signature BlockUnder penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it istrue, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge

Sign ' Signature of o icer

Here ' r

Type or pant name and title

PaidPnnt/Type preparer' s name Preparer 'Wignatur

Preparer Jame

Use Only "IsFinn's

May the IRS discus

me ► James Dykhouse, CPA

dress ► 330 Amherst CL, Atlanta , GA 30328this return with the preparer shown above

For Paperwork Reduction Act Notice, see the separate instructions.

Page 2: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Form 990 (2013) Page 2

Statement of Program Service Accomplishments

Check if Schedule 0 contains a response or note to any line in this Part III . . . . . . . . . . . . . q

1 Briefly describe the organization's mission:

Advocay, support, education-and

-research

-for the mental^_ill.

----------- ------------------------- - - - -

2 Did the organization undertake any significant program services dunng the year which were not listed on theprior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes 0 No

If "Yes," describe these new services on Schedule 0.3 Did the organization cease conducting, or make significant changes in how it conducts, any program

services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes q No

If "Yes," describe these changes on Schedule 0.

4 Describe the organization's program service accomplishments for each of its three largest program services, as measured byexpenses. Section 501 (c)(3) and 501 (c)(4) organizations are required to report the amount of grants and allocations to others,the total expenses, and revenue, if any, for each program service reported.

4a (Code: ) (Expenses $ 470,285 including grants of $ 0) (Revenue $ --------------------- --0)

Promote volunteerism public awareness- and-rovide advocacy for mentally ill individuals---------------- - ------ - -------------------------- -- ------------------- -- ------------- - -------------- --------- ---------- ----------------

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------

4b (Code: ) (Expenses $---------------

-------------------------------------------

4c (Code: ) (Expenses $

including grants of $ ) (Revenue $ )------------------------ ------------------------

including grants of $ ) (Revenue $ )------------------------

---------------------------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------------------------

4d Other program services (Describe in Schedule 0.)(Expenses $ including grants of $ ) (Revenue $

4e Total program service expenses ► 470,285

Form 990 (2013)

Page 3: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Form 990 (2013)

of Required

1 Is the organization described in section 501 (c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes,"complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? . . .3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to

candidates for public office? If "Yes," complete Schedule C, Part I . . . . . . . . . . . . . .

4 Section 501 (c)(3) organizations . Did the organization engage in lobbying activities, or have a section 501(h)election in effect during the tax year? If "Yes," complete Schedule C, Part 11 . . . . . . . . . . .

5 Is the organization a section 501 (c)(4), 501 (c)(5), or 501 (c)(6) organization that receives membership dues,assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,Part Ill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donorshave the right to provide advice on the distribution or investment of amounts in such funds or accounts? If"Yes," complete Schedule D, Part/ . . . . . . . . . . . . . . . . . . . . . . . .

7 Did the organization receive or hold a conservation easement, including easements to preserve open space,the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part Il . . .

8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"complete Schedule D, Part Ill . . . . . . . . . . . . . . . . . . . . . . . . . .

9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as acustodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, ordebt negotiation services? If "Yes," complete Schedule D, Part IV . . . . . . . . . . . . . .

10

11

a

b

c

d

ef

12a

b

1314a

b

15

16

17

18

19

20 ab

Did the organization, directly or through a related organization, hold assets in temporarily restrictedendowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V . .

If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI,VII, VIII, IX, or X as applicable.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes,"

complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . .

Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or moreof its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII . . . . . . . .

Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or moreof its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part Vlll . . . . . . . .

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assetsreported in Part X, line 16? If "Yes," complete Schedule D, Part IX . . . . . . . . . . . . . .

Did the organization report an amount for other liabilities in Part X, line 25? If "Yes, " complete Schedule D, Part XDid the organization's separate or consolidated financial statements for the tax year include a footnote that addressesthe organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If 'Yes," complete Schedule D, Part X .

Did the organization obtain separate, independent audited financial statements for the tax year? If Wes," completeSchedule D, Parts XI and Xll . . . . . . . . . . . . . . . . . . . . . . . . . . .

Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and ifthe organization answered 'No" to line 12a, then completing Schedule D, Parts XI and XII is optional . . . . . . .

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E .Did the organization maintain an office, employees, or agents outside of the United States? . . . . .Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,fundraising, business, investment, and program service activities outside the United States, or aggregateforeign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV. . . . .Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to orfor any foreign organization? If "Yes," complete Schedule F, Parts 11 and IV . . . . . . . . . . .Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or otherassistance to or for foreign individuals? If "Yes," complete Schedule F, Parts /// and IV. . . . . . . .Did the organization report a total of more than $15,000 of expenses for professional fundraising services onPart IX, column (A), lines 6 and 11 e? If "Yes," complete Schedule G, Part I (see instructions) .

Did the organization report more than $15,000 total of fundraising event gross income and contributions onPart VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part 11 . . . . . . . . . . . . . . .

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?If "Yes," complete Schedule G, Part Ill . . . . . . . . . . . . . . . . . . . . . . .

Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H . . . . . .

If "Yes" to line 20a. did the organization attach a cony of its audited financial statements to this return?

Page 3

Yes No

1 3

2 3

3 3

4 3

51 1

6 3

7 3

8 3

9 3

10 3

11a 3

11b 3

11c 3

11d 3

lie 3

11f 3

12a 3

12b 3

13 3

14a 3

14b 3

15 3

16 3

17 3

18 3

19 3

20a 3

20b

Form 990 (2013)

Page 4: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Form 990 (2013) Page 4

UMM Checklist of Required Schedules (continued)Yes No

21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization orgdvemment on Part IX, column (A), line 1 ? If "Yes," complete Schedule I, Parts l and 11 . . . . . . . 21 3

22 Did the organization report more than $5,000 of grants or other assistance to individuals in the United Stateson Part IX, column (A), line 2? If "Yes," complete Schedule 1, Parts I and Ill . . . . . . . . . . . 22 3

23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of theorganization's current and former officers, directors, trustees, key employees, and highest compensatedemployees? If "Yes," complete Schedule J . . . . . . . . . . . . . . . . . . . . . . 23 3

24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than$100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24bthrough 24d and complete Schedule K. If "No, " go to line 25a . . . . . . . . . . . . . . . 24a 3

b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . 24bc Did the organization maintain an escrow account other than a refunding escrow at any time during the year

to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . 24c

d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? . . 24d25a Section 501(c)(3) and 501(c)(4) organizations . Did the organization engage in an excess benefit transaction

with a disqualified person during the year? If "Yes," complete Schedule L, Part I . . . . . . . . . 25a

b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prioryear, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?If "Yes, " complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . 25b 3

26 Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to anycurrent or former officers, directors, trustees, key employees, highest compensated employees, ordisqualified persons? If so, complete Schedule L, Part II . . . . . . . . . . . . . . . . . 26 3

27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee,substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlledentity or family member of any of these persons? If "Yes," complete Schedule L, Part 111 . . . . . . . 27 3

28 Was the organization a party to a business transaction with one of the following parties (see Schedule L,Part IV instructions for applicable filing thresholds. conditions, and exceptions):

a A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV . 28a 3b A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete

Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28b 3

G An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV . . . 28c 3

29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M 29 330 Did the organization receive contributions of art, histoncal treasures, or other similar assets, or qualified

conservation contributions? If "Yes," complete Schedule M . . . . . . . . . . . . . . . . 30 3

31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 3

32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"complete Schedule N, Part 11 . . . . . . . . . . . . . . . . . . . . . . . . . . 32 3

33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulationssections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I . . . . . . . . . . . 33

34 Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part ll, Ill,or lV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 3

35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . 35a 3b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a

controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 . . 35b36 Section 501(c)(3) organizations . Did the organization make any transfers to an exempt non-charitable

related organization? If "Yes," complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . 36

3

37 Did the organization conduct more than 5% of its activities through an entity that is not a related organizationand that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R,Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 3

38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 b and19? Note. All Form 990 filers are required to complete Schedule 0 . . . . . . . . . . . . 38 3

Form 990 (2013)

Page 5: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Form 990 (2013) Page 5

Statements Regarding Other IRS Filings and Tax ComplianceCheck if Schedule 0 contains a response or note to any line in this Part V . q

Yes No

1 a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable . . . . 1 a 42b Enter the number of Forms W-2G included in line 1 a. Enter -0- if not applicable . . . . lb oc Did the organization comply with backup withholding rules for reportable payments to vendors and

reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . .c j

2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax

Statements, filed for the calendar year ending with or within the year covered by this return 2a 5b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? 2b 3

Note . If the sum of lines 1 a and 2a is greater than 250, you may be required to e-file (see instructions)3a Did the organization have unrelated business gross income of $1,000 or more during the year'? . . 3a 3b If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation in Schedule 0 . 3b

4a At any time during the calendar year, did the organization have an interest in, or a signature or other authorityover, a financial account in a foreign country (such as a bank account, securities account, or other financialaccount)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a 3

b If "Yes," enter the name of the foreign country: ► ; . ___________________________________________________See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . 5a 3b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 5b 3c If "Yes" to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . 5c

6a Does the organization have annual gross receipts that are normally greater than $100,000, and did theorganization solicit any contributions that were not tax deductible as charitable contributions? . . . 6a 3

b If "Yes," did the organization include with every solicitation an express statement that such contributions orgifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . 6b

7 Organizations that may receive deductible contributions under section 170(c).a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods i _

and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . 7ab If "Yes," did the organization notify the donor of the value of the goods or services provided? . . . 7bc Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was

required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . 7c 3d If "Yes," indicate the number of Forms 8282 filed during the year . . . . . . . . 7d

-e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? 7e 3f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . 7f 3g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? 7gh If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? 7h

8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supportingorganizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring _organization, have excess business holdings at any time during the year? . . . . . . . . . . . 8

9 Sponsoring organizations maintaining donor advised funds.a Did the organization make any taxable distributions under section 4966? . . . . . . . . . . . . 9ab Did the organization make a distribution to a donor, donor advisor, or related person? . . . . . . . 9b

10 Section 501(c)(7) organizations. Enter:a Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . 10ab Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities . 10b

11 Section 501(c)( 12) organizations . Enter:a Gross income from members or shareholders . . . . . . . . . . . . . . . 11ab Gross income from other sources (Do not net amounts due or paid to other sources

against amounts due or received from them.) . . . . . . . . . . . . . . . 11b12a Section 4947(a)(1) non-exempt charitable trusts . Is the organization filing Form 990 in lieu of Form 1041? 12a

b If "Yes," enter the amount of tax-exempt interest received or accrued during the year. . 12b13 Section 501 (c)(29) qualified nonprofit health insurance issuers.

a Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . 13aNote. See the instructions for additional information the organization must report on Schedule 0.

b Enter the amount of reserves the organization is required to maintain by the states in whichthe organization is licensed to issue qualified health plans . . . . . . . . 13b

c Enter the amount of reserves on hand . . . . . . . . . . . . . . . 13c

14a Did the organization receive any payments for indoor tanning services during the tax year? 14a 3b If "Yes," has it filed a Form 720 to report these payments? If "No,' provide an explanation in Schedule 0 14b

Form 990 (2013)

Page 6: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Form 990 (2013) Page 6

Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No"response to line 8a, 8b, or 1Ob below, describe the circumstances, processes, or changes in Schedule O. See instructions.Check if Schedule 0 contains a response or note to any line in this Part VI .

Section A. Governing Body and ManagementYes No

la Enter the number of voting members of the governing body at the end of the tax year. . la 15If there are material differences in voting rights among members of the governing body, orif the governing body delegated broad authority to an executive committee or similarcommittee, explain in Schedule O.

b Enter the number of voting members included in line 1 a, above, who are independent . 1b 152 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with

any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . 2

3 Did the organization delegate control over management duties customarily performed by or under the directsupervision of officers, directors, or trustees, or key employees to a management company or other person? 3 3

4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 4 3

5 Did the organization become aware during the year of a significant diversion of the organization's assets? 5 3

6 Did the organization have members or stockholders ? . . . . . . . . . . . . . . . . . 6 37a Did the organization have members, stockholders, or other persons who had the power to elect or appoint

one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . 7a 3

b Are any governance decisions of the organization reserved to (or subject to approval by) members,stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . 7b

3

8 Did the organization contemporaneously document the meetings held or written actions undertaken during - -the year by the following:

~a The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a 3b Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . 8b 3

9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached atthe organization's mailing address? If "Yes," provide the names and addresses in Schedule 0 . . . . .

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)Yes No

10a Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . 10a 3b If "Yes," did the organization have written policies and procedures governing the activities of such chapters,

affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? 10b11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? 11a 3

b Describe in Schedule 0 the process, if any, used by the organization to review this Form 990. -12a Did the organization have a written conflict of interest policy? If "No,"go to line 13 . . . . . . . . 12a 3

b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? 12b 3

c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"describe Schedule 0 how this was done . . . . . . . . . . . . . . . . . . . . . . 12c 3

13 Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . 13 314 Did the organization have a written document retention and destruction policy? . . . . . . . . . 14 315 Did the process for determining compensation of the following persons include a review and approval by

independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? -

a The organization's CEO, Executive Director, or top management official . . . . . . . . . . . . 15a 3

b Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . 15b 3If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions).

16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangementwith a taxable entity during the year'? . . . . . . . . . . . . . . . . . . . . . . . . 16a 3

b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate itsparticipation in joint venture arrangements under applicable federal tax law, and take steps to safeguard theorganization's exempt status with respect to such arrangements ? . . . . . . . . . . . . 16b

17 List the states with which a copy of this Form 990 is required to be filed ► Georgia18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only)

available for public inspection. Indicate how you made these available. Check all that apply.

q Own website q Another's website 0 Upon request q Other (explain Schedule 0)19 Describe in Schedule 0 whether (and if so, how) the organization made its governing documents, conflict of interest policy, and

financial statements available to the public during the tax year.

20 State the name, physical address, and telephone number of the person who possesses the books and records of the

organizatio n: ► Carol McEntee, 3180 Presidential Dr., Suite A, Atlanta , GA 30340; 770-234-0855

Form 990 (2013)

Page 7: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Form 990 (2013) Page 7

Compensation of Officers , Directors , Trustees, Key Employees, Highest Compensated Employees, andIndependent ContractorsCheck if Schedule 0 contains a response or note to any line in this Part VII . q

Section A. Officers , Directors , Trustees , Key Employees, and Highest Compensated Employeesla Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within theorganization's tax year.

• List all of the organization' s current officers, directors, trustees (whether individuals or organizations), regardless of amount ofcompensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

• List all of the organization' s current key employees, if any. See instructions for definition of "key employee."

• List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee)who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from theorganization and any related organizations.

• List all of the organization' s former officers, key employees, and highest compensated employees who received more than$100,000 of reportable compensation from the organization and any related organizations.

• List all of the organization' s former directors or trustees that received, in the capacity as a former director or trustee of theorganization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highestcompensated employees; and former such persons.

q Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.(c)

(A) (B) Position(D) (E) (Fl(do not check more than one

Name and Title Average box, unless person is both an Reportable Reportable Estimatedhours per officer and a director/trustee) compensation compensation from amount of

week (list any-

from related otherhours for a Q W =Z M

3 o the organizations compensationrelated ^ a m m o m 3 organization (W-2/1099-MISC) from the

organizations a c-,

o m f°0

(W-2/1099-MISC) organizationbelow dotted

0and related

line) Nm

C:p

NCD

m 0CD7

dCD

Cl

organizations

- (1) Eric Spencer , -Executive -Director ----------------_ ____ 40+

3 80,250 0 0

(2) Ashley Smith .- Board Member ____________________ ____ 2_____

3 2,650 0 0

--(3)

-Mimi

-Marlowe ,

-Board

-Member

----------------------------------------------------------2------ ------

3 1,125 0 0

(4)-Bonnie Moore ,- Board Member

--------------------------------------------------------------2

------------1,000 0 0

(5)Valerie West,- Board Secretary_--------------------- --- _ 2

3 875 0 0

(6) Other board members - Schedule 1-------------------------------------------------------------

2------------

3 0 0 0

--------------------------------------------------------------- ------------

^8- ------------------------------------------------------------- -------------

(9)---------------------------------------------------------------- -------------

(1-0)

--------------------------------------------------------------- -------------

( 1-1)

--------------------------------------------------------------- -------------

(1-2)

--------------------------------------------------------------- -------------

(1-3)

--------------------------------------------------------------- -------------

(14)

Form 990 (2013)

Page 8: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Form 990 (2013) Page 8

Section fL Officers . Directors. Trustees. Kev Emolovees . and Hiahest Comoensated Emolovees (continued)

(C)

^)Position D

() t^(do not check more than oneName and title Average box, unless person is both an Reportable Reportable Estimated

hours per officer and a director/trustee) compensation compensation from amount ofweek (list an from related otherhours for a'a

5 C) ;K CD7 o the organizations compensation

related m Q0

mX36(D 3 organization (W-2/1099-MISC) from the

organizations ^ c° -

2.o

.m

co

(W 2/1099-MISC) organizationbelow dotted 3 and related

line) amM

jmmM

m

m

a.

organizations

(1-5)--------------------------------------------------------------- -------------

-----------------------------------------(1s)----------------- -------------

(1-7)--------------------------------------------------------------- -------------

(1-8)--------------------------------------------------------------- -------------

(1-9)--------------------------------------------------------------- -------------

(20)---------------------------------------------------------------- -------------

(21)---------------------------------------------------------------- -------------

(22)---------------------------------------------------------------- -------------

(23)---------------------------------------------------------------- -------------

(24)---------------------------------------------------------------- -------------

(25)---------------------------------------------------------------- -------------

lb Sub-total . . . . . . . . . . . . . . . . . . . . . ► 85,900 0 0

c Total from continuation sheets to Part VII, Section A . . . . . ►d Total (add lines lb and 1c) . . ► 85,900 0 0

2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 ofreportable compensation from the organization ► None

3 Did the organization list any former officer, director, or trustee, key employee, or highest compensatedemployee on line 1 a? If "Yes," complete Schedule J for such individual . . . . . . . . . . . .

4 For any individual listed on line 1 a, is the sum of reportable compensation and other compensation from theorganization and related organizations greater than $150,000? If "Yes," complete Schedule J for suchindividual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individualfor services rendered to the organization? If "Yes," complete Schedule J for such person . . . . . .

Yes No

3i 3

4

5 KI I 3Section B. Independent Contractors

I Complete this table for your five highest compensated independent contractors that received more than $100,000 ofcompensation from the organization. Report compensation for the calendar year ending with or within the organization's taxyear.

(A)Name and business address

(B)Description of services

(c)Compensation

None

2 Total number of independent contractors (including but not limited to those listed above) whoreceived more than $100,000 of compensation from the organization ► 0 =-^ -^'-

Form 990 (2013)

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Form 990 (2013) Page 9

Statement of RevenueCheck if Schedule 0 contains a response or note to any line in this Part VIII . . q

(B) (C) (D)Total revenue Related or Unrelated Revenue

exempt business excluded from taxfunction revenue under sectionsrevenue 512-514

la Federated campaigns . . . la

b Membership dues . . . . 1b 9,999L, E c Fundraising events . . . . 1c

d Related organizations . . . l du E e Government grants (contributions) le 418,315o N f All other contributions, gifts, grants,

and similar amounts not included above If 9,120g Noncash contributions included in lines 1a-1f. $

----------ci `m

----------h Total. Add lines la-1f . ► 437,434

(D Business Code

CD 2a

Cr-------------------------------------------------

b -------------------------------------------------C

y dE

-------------------------------------------------e

2 ------------------f All other program service revenue .

CL` 9 Total . Add lines 2a-2f . ►3 Investment income (including dividends, interest,

and other similar amounts) . . . . . . . ► 5,782 5,782

4 Income from investment of tax-exempt bond proceeds

5 Royalties . . ►(i) Real (u) Personal

6a Gross rents

b Less: rental expenses - t

c Rental income or (loss)

d Net rental income or (loss) . ►7a Gross amount from sales of () Securities (ii) Other

assets other than inventory -

b Less: cost or other basis - - - - -and sales expenses

c Gain or (loss)

d Net gain or (loss) . . . . . ►

8a Gross income from fundraisingevents (not including $

---------- ------of contributions reported on line 1 c).See Part IV, line 18 . . . . . a 104,202

b Less: direct expenses . . . . b 37,477c Net income or (loss) from fundraising events . ► 66,725

9a Gross income from gaming activities.See Part IV, line 19 . . . . . a

b Less: direct expenses . . . . bc Net income or (loss) from gaming activities . . ►

10a Gross sales of inventory, lessreturns and allowances . . . a

b Less: cost of goods sold . . . bc Net income or (loss) from sales of inventory . . ►

Miscellaneous Revenue Business Code

11a CIT Conference--

8,401------------------- ---------------------------

b------------------------------------------------

c----------------------- --- ----------------- ---- -

d All other revenue . . . .

e Total. Add lines 11a-11d . . . . . . . . ►12 Total revenue . See 5 1 8 342 1 5 , 782

Form 990 (2013)

Page 10: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Form 990 (2013) Page 10

ff7.re"^ Statement of Functional ExpensesSection 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).

Check if Schedule 0 contains a response or note to any line in this Part IX . F1Do not include amounts reported on lines 6b, 7b,8b, 9b, and 106 of Part V/ll.

Total expenses Program serviceexpenses

Management andgeneral expenses

Fundraisingexpenses

1 Grants and other assistance to governments andorganizations in the United States. See Part IV, line 21

2 Grants and other assistance to individuals inthe United States. See Part IV, line 22 . . .

3 Grants and other assistance to governments,organizations, and individuals outside theUnited States. See Part IV, lines 15 and 16 . .

4 Benefits paid to or for members . . . .5 Compensation of current officers, directors,

trustees, and key employees . . . . . 80,250 51,660 20,697 7,893

6 Compensation not included above, to disqualifiedpersons (as defined under section 4958(f)(1)) andpersons described in section 4958(c)(3)(B) . .

7 Other salaries and wages . . . . . . 144,883 93,266 37,365 14,252

8 Pension plan accruals and contributions (includesection 401(k) and 403(b) employer contributions)

9 Other employee benefits . . . . . . .

10 Payroll taxes . . . . . . . . . . .

11 Fees for services (non-employees):

a Management . . . . . . . . . .

b Legal . . . . . . . . . . . . . 28,206 15,992 6 ,939 5,275

c Accounting . . . . . . . . . . . 5,000 2 ,835 1 , 230 935

d Lobbying . . . . . . . . . . . .

e Professional fundraising services. See Part IV, line 17

f Investment management fees . . . . .g Other. Of line 11g amount exceeds 10% of line 25, column

(A) amount, list line 11g expenses on Schedule 0.) . .

12 Advertising and promotion . . . . . . 528 52813 Office expenses . . . . . . . . . 12,307 10,472 1,774 61

14 Information technology . . . . . . . 17,525 13,825 2,464 1,236

15 Royalties . . . . . . . . . . . .

16 Occupancy . . . . . . . . . . . 18,833 16,008 1 , 883 942

17 Travel . . . . . . . . . . . . . 23,410 22 ,006 1,322 8218 Payments of travel or entertainment expenses

for any federal, state, or local public officials

19 Conferences, conventions, and meetings . 300 30020 Interest . . . . . . . . . . . .

21 Payments to affiliates . . . . . . . . 1,836 1,836

22 Depreciation, depletion, and amortization . 410 41023 Insurance . . . . . . . . . . . . 6,825 5 , 801 683 341

24 Other expenses. Itemize expenses not coveredabove (List miscellaneous expenses in line 24e. Ifline 24e amount exceeds 10% of line 25, column(A) amount, list line 24e expenses on Schedule 0.)

a Outside services-------------------------------------- 75,465 42,743 18 , 612 14,110

b Training and education------------------------ -----------------------------------

149,512 149.497 15-

c Meals and entertainment------------- ------------------------------------

8.887 7,988 895 4--- ----- ---

d Printing and reproduction----- -- - ------------- -------------- ---

12,221 10,474 756 991--------- - - ------ - ----

e All other expenses Miscellaneous--------- - ------- ----

27.641 25,054 1,676 911-- - --------

25 Total functional expenses . Add lines 1 through 24e 614,039 470 , 285 96, 721 47,033

26 Joint costs. Complete this line only if theorganization reported in column (B) joint costsfrom a combined educational campaign andfundraising solicitation. Check here ► q iffollowing SOP 98-2 (ASC 958-720) . .

Form 990 (2013)

Page 11: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Form 990 (2013) Page 11

Balance SheetCheck if Schedule 0 contains a response or note to any line in this Part X . q

(A) (B)Beginning of year End of year

1 Cash-non-interest-bearing . . . . . . . . . . . . . . 218,906 1 62,104

2 Savings and temporary cash investments . . . . . . . . . . 77,559 2 124,866

3 Pledges and grants receivable, net . . . . . . . . . . . . 49,450 3 31,0954 Accounts receivable, net . . . . . . . . . . . . . . . 45 Loans and other receivables from current and former officers, directors,

trustees, key employees, and highest compensated employees.Complete Part II of Schedule L . . . . . . . . . . . . . 5

6 Loans and other receivables from other disqualified persons (as defined under section4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers andsponsoring organizations of section 501(c)(9) voluntary employees' beneficiary

r organizations (see instructions). Complete Part II of Schedule L.. . . . . . . g

N 7 Notes and loans receivable, net . . . . . . . . . . . . . 7a 8 Inventories for sale or use . . . . . . . . . . . . . . . 8

9 Prepaid expenses and deferred charges . . . . . 1,570 9 2,49310a Land, buildings, and equipment: cost or

other basis. Complete Part VI of Schedule D 10a 51 , 178 ^b Less: accumulated depreciation . . . . 10b 51,178

_

41_0 c 011 Investments-publicly traded securities . . . . . . . . . . 95,698 11 102,35512 Investments-other securities. See Part IV, line 11 . . . . . . . 1213 Investments-program-related. See Part IV, line 11 . . . . . . . 1314 Intangible assets . . . . . . . . . . . . . . . . . . 1415 Other assets. See Part IV, line 11 . . . . . . . . . . . . . 1516 Total assets. Add lines 1 through 15 (must eq ual line 34) 443 593 16 322,91317 Accounts payable and accrued expenses . . . . . . . . . . 63,291 17 32,25318 Grants payable . . . . . . . . . . . . . . . . . . . 1819 Deferred revenue . . . . . . . . . . . . . . . . . . 19 5,00020 Tax-exempt bond liabilities . . . . . . . . . . . . . . . 2021 Escrow or custodial account liability. Complete Part IV of Schedule D . 21

22 Loans and other payables to current and former officers, directors,trustees, key employees, highest compensated employees, anddisqualified persons. Complete Part 11 of Schedule L . . . . . .

_

22cc23 Secured mortgages and notes payable to unrelated third parties 2324 Unsecured notes and loans payable to unrelated third parties . 24

25 Other liabilities (including federal income tax, payables to related thirdparties, and other liabilities not included on lines 17-24). Complete Part Xof Schedule D . . . . . . . . . . . . . . . . . . . 25

26 Total liabilities . Add lines 17 through 25 63.291 26 37,353Organizations that follow SFAS 117 (ASC 958), check here ► 2] andcomplete lines 27 through 29, and lines 33 and 34. -

c 27 Unrestricted net assets . . . . . . . . . . . . . . . . 329,176 27 241,12028 Temporarily restricted net assets . . . . . . . . . . . . . 32,126 28 25,44029 Permanently restricted net assets . . . . . . . . . . . . . 19,000 29 19,000

Organizations that do not follow SFAS 117 (ASC 958), check here 10- El ando complete lines 30 through 34. -

30 Capital stock or trust principal, or current funds . . . . . . . . 3031 Paid-in or capital surplus, or land, building, or equipment fund . . . 31

4.032 Retained earnings, endowment, accumulated income, or other funds 32

z 33 Total net assets or fund balances . . . . . . . . . . . . . 380,302 33 285,56034 Total liabilities and net assets/fund balances 443 593 34 322 ,913

Form 990 (2013)

Page 12: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Form 990 (2013) Page 12

Reconciliation of Net AssetsCheck if Schedule 0 contains a response or note to any line in this Part XI . q

1 Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . 1 518,3422 Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . 2 614,039

3 Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . 3 95,6974 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . . . 4 380,3025 Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . 5 9556 Donated services and use of facilities . . . . . . . . . . . . . . . . . . . 67 Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . 78 Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . 89 Other changes in net assets or fund balances (explain in Schedule 0) . . . . . . . . . 910 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line

33, column ( B)) . . . . . . . . . . . . . . . . . . . . 10 285,560Financial Statements and ReportingCheck if Schedule 0 contains a response or note to any line in this Part XII . q

Yes No

1 Accounting method used to prepare the Form 990: q Cash 21 Accrual q OtherIf the organization changed its method of accounting from a prior year or checked "Other," explain inSchedule O.

2a Were the organization's financial statements compiled or reviewed by an independent accountant? . . 2a 3If "Yes," check a box below to indicate whether the financial statements for the year were compiled or

r:reviewed on a separate basis, consolidated basis, or both:

te , , .

q Separate basis q Consolidated basis q Both consolidated and separate basisb Were the organization's financial statements audited by an independent accountant ? . . . . . . . 2b 3

If "Yes," check a box below to indicate whether the financial statements for the year were audited on aseparate basis, consolidated basis, or both:

q Separate basis q Consolidated basis q Both consolidated and separate basisc If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight

of the audit, review, or compilation of its financial statements and selection of an independent accountant? 2cIf fhe organization changed either its oversight process or selection process during the tax year, explain inSchedule O.

3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth inthe Single Audit Act and OMB Circular A-133? . . . . . . . . . . . . . . . . . . . . . 3a 3

b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo therequired audit or audits, explain why in Schedule 0 and describe any steps taken to undergo such audits. 31b

Form 990 (2013)

Page 13: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

SCHEDULE A Public Charity Status and Public Support(Form 990 or 990-EZ)

Complete if the organization is a section 501 (c)(3) organization or a section4947(a)(1) nonexempt charitable trust

Department of the Treasury - Attach to Form 990 or Form 990-EZ.Internal Revenue Service ► Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No 1545-0047

20013

Name of the organization Employer identification number

NAMI - Georgia, Inc. 58-1466482

Reason for Public Charity Status (All organizations must complete this part.) See instructions.The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

1 q A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).2 q A school described in-section 170(b)(1)(A)(ii). (Attach Schedule E.)3 q A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).4 q A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the

hospital's name, city, and state:---------------------------------------------------------------------------------------------------------------------------

5 q An organization operated for the benefit of a college or university owned or operated by a governmental unit described insection 170(b)(1)(A)(iv). (Complete Part II.)

6 q A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).7 q An organization that normally receives a substantial part of its support from a governmental unit or from the general public

described in section 170(b)(1)(A)(vq . (Complete Part II.)

8 q A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

9 q An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and grossreceipts from activities related to its exempt functions-subject to certain exceptions, and (2) no more than 33'/3% of itssupport from gross investment income and unrelated business taxable income (less section 511 tax) from businessesacquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

10 q An organization organized and operated exclusively to test for public safety. See section 509(a)(4).11 q An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the

purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section509(a)(3). Check the box that describes the type of supporting organization and complete lines 11 a through 11 h.

a q Type I b q Type II c q Type III-Functionally integrated d q Type III-Non-functionally integratede q By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons

other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1)or section 509(a)(2).

f If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supportingorganization, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q

g Since August 17, 2006, has the organization accepted any gift or contribution from any of thefollowing persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (u) and Yes No(iii) below, the governing body of the supported organization? . . . . . . . . . . . . 11g^

(ii) A family member of a person described in (i) above? . . . . . . . . . . . . . . . . . 111g(i)(iii) A 35% controlled entity of a person described in (i) or (ii) above? . . . . . . . . . . . . . 11g(iii)

h Provide the fol lowing information about the supported organization(s).

(i) Name of supportedorganization

(Ii) EIN (ii) Type of organization(described on lines 1-9above or IRC section(see instructions ))

(iv) Is the organizationin col (1) listed in yourgoverning document?

(v) Did you notifythe organization in

col (1) of yoursupport?

(vi) Is theorganization in col(1) organized in the

U S'7

(vii) Amount of monetarysupport

Yes No Yes No Yes No

(A)

(B)

(C)

(D)

(E)

Total

For Paperwork Reduction Act Notice , see the Instructions for Cat No 11285F Schedule A (Form 990 or 990-EZ) 2013Form 990 or 990-EL

Page 14: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Schedule A (Form 990 or 990-EZ) 2013 Page 2

' Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify underPart Ill. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public SupportCalendar year (or fiscal year beginning in) ► (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total

I Gifts, grants, contributions, andmembership fees received. (Do notinclude any "unusual grants.") . . . 339,644 790 ,810 727 , 851 622, 915 19 , 119 2 , 500,339

2 Tax revenues levied for theorganization's benefit and either paidto or expended on its behalf . . .

3 The value of services or facilitiesfurnished by a governmental unit to theorganization without charge . . . .

4 Total. Add lines 1 through 3 . . . . 339,644 790 , 810 727 ,851 622, 915 19, 119 2 , 500,339

5 The portion of total contributions by -each person (other than agovernmental unit or publiclysupported organization) included online 1 that exceeds 2% of the amount = r.•'shown on line 11, column (f) . . . . 1,908,543

6 Public support. Subtract line 5 from line 4. 591,796Section B. Total SupportCalendar year (or fiscal year beginning in) ► (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total

7 Amounts from line 4 . . . . . . 339,644 790 ,810 727,851 622 , 915 19, 119 2, 500,339

8 Gross income from interest, dividends,payments received on securities loans,rents, royalties and income from similarsources . . . . . . . . . . 2,939 2 ,410 4 , 200 4.216 5,782 19,547

9 Net income from unrelated businessactivities, whether or not the businessis regularly carried on . . . . .

10 Other income. Do not include gain orloss from the sale of capital assets(Explain in Part IV.) . . . . . . . 70,887 63 , 241 97 484 86 , 799 75 , 126 393,537

11 Total support. Add lines 7 through 10 2,913,42312 Gross receipts from related activities, etc . (see instructions) . . . . . . . . . . . . 1213 First five years . If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . ►Section C . Computation of Public Support Percentage14 Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) . . . 14 20.31 %15 Public support percentage from 2012 Schedule A, Part II, line 14 . . . . . . . . . . 15 32.42 %16a 331/3% support test-2013 . If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this

box and stop here. The organization qualifies as a publicly supported organization ► 0b 331/3% support test-2012 . If the organization did not check a box on line 13 or 16a, and line 15 is 331,3% or more,

check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . ► 0

17a 10%-facts -and-circumstances test-2013 . If the organization did not check a box on line 13, 16a, or 16b, and line 14 is10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here . Explain inPart IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supportedorganization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b 10%-facts-and-circumstances test-2012 . If the organization did not check a box on line 13, 16a, 16b, or 17a, and line15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publiclysupported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► El

18 Private foundation . If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and seeinstructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► q

Schedule A (Form 990 or 990-EZ) 2013

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Schedule A (Form 990 or 990-EZ) 2013 Page 3

` Support Schedule for Organizations Described in Section 509(a)(2)(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II.

If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public SupportCalendar year (or fiscal year beginning in) ► (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total

1 Gifts, grants, contributions, and membership feesreceived. (Do not include any 'unusual grants.')

2 Gross receipts from admissions, merchandisesold or services performed, or facilitiesfurnished in any activity that is related to theorganization's tax-exempt purpose . . .

3 Gross receipts from activities that are not anunrelated trade or business under section 513

4 Tax revenues levied for theorganization's benefit and either paidto or expended on its behalf . . .

5 The value of services or facilitiesfurnished by a governmental unit to theorganization without charge . . . .

6 Total. Add lines 1 through 5 . . . .7a Amounts included on lines 1, 2, and 3

received from disqualified persons .

b Amounts included on lines 2 and 3received from other than disqualifiedpersons that exceed the greater of $5,000or 1 % of the amount on line 13 for the year

c Add lines 7a and 7b . . . . . .8 Public support (Subtract line 7c from A

line 6.)

Section B. Total SupportCalendar year (or fiscal year beginning in) ►

9 Amounts from line 6 . . . . . .

10a Gross income from interest, dividends,payments received on securities loans, rents,royalties and income from similar sources .

b Unrelated business taxable income (lesssection 511 taxes) from businessesacquired after June 30, 1975 . . . .

c Add lines 10a and 10b . . . . .

11 Net income from unrelated businessactivities not included in line 10b, whetheror not the business is regularly canned on

12 Other income. Do not include gain orloss from the sale of capital assets(Explain in Part IV.) . . . . . . .

13 Total support. (Add lines 9, 10c, 11,and 12.) . . . . . . . . . .

(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total

14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3)organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . ►

section C. Computation of Public Support Percentage

15 Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) . . . 15 %

16 Public support percentaqe from 2012 Schedule A, Part III, line 15 . . . . . . . . . . . 16 %

17 Investment income percentage for 2013 (line 1 Oc, column (f) divided by line 13, column (f)) . . . 17 %

18 Investment income percentage from 2012 Schedule A, Part III, line 17 . . . . . . . . 18 %

19a 331/3% support tests-2013. If the organization did not check the box on line 14, and line 15 is more than 331/3%, and line17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization . ► q

b 331/3% support tests-2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, andline 18 is not more than 331,3%, check this box and stop here . The organization qualifies as a publicly supported organization ► q

20 Private foundation . If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ► q

Schedule A (Form 990 or 990-EZ) 2013

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Schedule A (Form 990 or 990-EZ) 2013 Page 4

Supplemental Information . Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; andPart III, line 12. Also complete this part for any additional information. (See instructions).

Part II ,-Section C.-Line-17a:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

NAMIGeorgia ' s mission is to promote recoveryand optimize the quality of life- for Georgian ' s affected by mental illness through support,

education , advocacy and research .- NAMI Georgia is affiliated with the National Alliance of Mental Illness.- the nation's largest grassroots _______-- -- -- - - --- -- -

mental health organization dedicated to building better lives for the millions of Americans affected by mental illness.--------------------- ------------------------- -------------------------------------------------------

NAMI Georgia solicates contributions from the general public , community and state govemmenal units .- The organization ' s lamest souse of- - ----------------------------------- -------- - -----

funding is from the State of Georgia Department of Behavioral Health and Development Disabilities . In the fiscal near ended April 30.2014,- - - - - - - - - - - - - - - - - ---------

thisgovernmentgrant accounted for -80% -of-the -revenue of NAMI Georgia. Membership dues are kept low ($3 for those_with_limited income---

E35 for regular dues) to encourage as many families aspossible to-oin the or-anization ._ The organization 's largest fund raiser,_NAMI Walk,

netted $66,725 last year with hundreds of members of thecieneral publicparticipating___________________________________________________________________--------------------------- - - - - - ------------

Schedule A (Form 990 or 990-EZ) 2013

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SCHEDULE C Political Campaign and Lobbying Activities(Form 990 or 990-EZ)

For Organizations Exempt From Income Tax Under section 501(c ) and section 527► Complete if the organization is described below . ► Attach to Form 990 or Form 990-EL

Department of the Treasury ► See separate instructions. ► Information about Schedule C (Form 990 or 990-EZ) and itsInternal Revenue Service instructions is at www.irs.gov/form990.

OMB No . 1545-0047

2013

If the organization answered "Yes," to Form 990, Part IV, line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then

• Section 501(c)(3) organizations: Complete Parts 1-A and B. Do not complete Part I-C

• Section 501(c) (other than section 501 (c)(3)) organizations: Complete Parts I-A and C below Do not complete Part I-B.

• Section 527 organizations: Complete Part I-A only.

If the organization answered "Yes," to Form 990, Part IV , line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then

• Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h))• Complete Part II-A. Do not complete Part II-B.

• Section 501 (c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B Do not complete Part Il-A.

If the organization answered "Yes," to Form 990, Part IV, line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then

• Section 501(c)(4). (5). or (6) oraanizations• Complete Part III.

G@ULS Complete if the organization is exempt under section 501 (c) or is a section 527 organization.1 Provide a description of the organization's direct and indirect political campaign activities in Part IV.2 Political expenditures . . . . . . . . . . . . . . . . . . . . . . . . . ► $

--------------------3 Volunteer hours . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Complete if the organization is exempt under section 501 (c)(3).

1 Enter the amount of any excise tax incurred by the organization under section 4955 . . . . ► $----------------------------------

2 Enter the amount of any excise tax incurred by organization managers under section 4955 . ► $--------- --------- - - -

3 If the organization incurred a section 4955 tax, did it file Form 4720 for this year? [Yes No4a Was a correction made? . . . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes q Nob If "Yes," describe in Part IV.

JIMIM Complete if the organization is exempt under section 501(c), except section 501(c)(3).1 Enter the amount directly expended by the filing organization for section 527 exempt function

activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► $----------------------------------2 Enter the amount of the filing organization's funds contributed to other organizations for section

527 exempt function activities . . . . . . . . . . . . . . . . . . . . . . ► $----------------------------------3 Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL,

line 17b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► $---------- --------- -----

4 Did the filing organization file Form 11 20-POL for this year? . . . . . . . . . . . . . . . . 7-Yes 1] No5 Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing

organization made payments. For each organization listed, enter the amount paid from the filing organization's funds. Also enterthe amount of political contributions received that were promptly and directly delivered to a separate political organization, suchas a separate segregated Lund or a political action committee (PAG). If additional space is needed, provide information in Part IV.

(a) Name (b) Address (c) EIN (d ) Amount paid fromfiling organization's

funds If none, enter -0-

(e) Amount of politicalcontributions received and

promptly and directlydelivered to a separatepolitical organization If

none, enter -0-

----------------------------------------------

(2) -------------------------------------------

(3) --------------------------------------------

(4) -------------------------------------------

(5) -------------------------------------------

(6) --------------------------------------------

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Cat No 50084S Schedule C (Form 990 or 990-EZ) 2013

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Schedule C (Form 990 or 990-EZ) 2013 Page 2

' Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election undersection 501(h)).

A Check ► q if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member'sname, address, EIN, expenses, and share of excess lobbying expenditures).

B Check ► q if the filing organization checked box A and "limited control" provisions apply.Limits on Lobbying Expenditures (a) Filing (b) Affiliated

(The term "expenditures" means amounts paid or incurred .) organization's totals group totals

1a Total lobbying expenditures to influence public opinion (grass roots lobbying) . . . .

b Total lobbying expenditures to influence a legislative body (direct lobbying) . . . .c Total lobbying expenditures (add lines 1a and 1b) . . . . . . . . . . . .d Other exempt purpose expenditures . . . . . . . . . . . . . . . . . .e Total exempt purpose expenditures (add lines 1 c and 1 d) . . . . . . . . . . .f Lobbying nontaxable amount. Enter the amount from the following table in both

columns.

If the amount on line le, column (a) or (b) is: The lobbying nontaxable amount is:

Not over $500,000 20% of the amount on line le

Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000

Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000.

Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000

Over $17,000,000 $1,000,000 ° - 4

g Grassroots nontaxable amount (enter 25% of line 1f) . . . . . . . . . . . .

h Subtract line 1g from line 1a. If zero or less, enter -0- . . . . . . . . . . . .i Subtract line if from line 1c. If zero or less, enter -0- . . . . . . . . . . . .j If there is an amount other than zero on either line 1h or line 1 i, did the organization file Form 4720

reporting section 4911 tax for this year? . . . . . . . . . . . . . . . . . . . . . . E] Yes No

4-Year Averaging Period Under Section 501(h)(Some organizations that made a section 501 (h) election do not have to complete all of the five

columns below. See the instructions for lines 2a through 2f on page 4.)

Lobbvina Exoenditures Durina 4-Year Averaaina Period

Calendar year (or fiscal yearbeginning in)

(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total

2a Lobbying nontaxable amount

b Lobbying ceiling amount(150% of line 2a, column (e))

'

c Total lobbying expenditures

d Grassroots nontaxable amount

e Grassroots ceiling amount(150% of line 2d, column (e))

f Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

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Schedule C (Form 990 or 990-EZ) 2013 Page 3

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768(election under section 501(h)).

For each "Yes," response to lines la through 1i below, provide in Part IV a detailed (a) (b)

description of the lobbying activity. Yes No Amount

1 During the year, did the filing organization attempt to influence foreign, national, state or locallegislation, including any attempt to influence public opinion on a legislative matter orreferendum, through the use of:

a Volunteers? . . . . . . . . . . . . . . . . . . . . . . . . . . . .

-

3

'-7

•__

r

-b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)? 3 -c Media advertisements? . . . . . . . . . . . . . . . . . . . . . . . . 3

d Mailings to members, legislators, or the public? . . . . . . . . . . . . . . . . 3e Publications, or published or broadcast statements? . . . . . . . . . . . . . . 3f Grants to other organizations for lobbying purposes? . . . . . . . . . . . . . . 3g Direct contact with legislators, their staffs, government officials, or a legislative body? . . . 3h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? . . 3i Other activities? . . . . . . . . . . . . . . . . . . . . . . . . . . 3

j Total. Add lines 1c through 1i . . . . . . . . . . . . . . . . . . . . . . 02a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)? 3 ' .b If "Yes," enter the amount of any tax incurred under section 4912 . . . . . . . . . .c If "Yes," enter the amount of any tax incurred by organization managers under section 4912d If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? . . .

LEI= Complete if the organization is exempt under section 501 (c)(4), section 501(c)(5), or section501 (c)(6).

Yes No

1 Were substantially all (90% or more) dues received nondeductible by members? . . . . . . . . . 1

2 Did the organization make only in-house lobbying expenditures of $2,000 or less? . . . . . . . . . 23 Did the organization ag ree to carry over lobbying and political expenditures from the prior ear? 3

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 , are answered "No," OR (b) Part 111-A, line 3, isanswered "Yes."

1 Dues, assessments and similar amounts from members . . . . . . . . . . . . . . . 12 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of

political expenses for which the section 527(f) tax was paid). c x

a Current year . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2ab Carryover from last year . . . . . . . . . . . . . . . . . . . . . . . . . . 2bc Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c

3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues . 34 If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the

excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbyingand political expenditure next year? . . . . . . . . . . . . . . . . . . . . . . 4

5 Taxable amount of lobbying and political expenditures (see instructions) . . . . . . . . 5

Provide the descriptions required for Part I-A, line 1; Part I-B, line 4; PartPart Il-B, line 1. Also, complete this part for any additional information.

ne 5; Part II-A (affiliated group list); Part II-A, line 2; and

Schedule C (Form 990 or 990-EZ) 2013

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Schedule C (Form 990 or 990-EZ) 2013 Page 4

IGUIUM Supplemental Information (continued)

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Schedule C (Form 990 or 990-EZ) 2013

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SCHEDULE D(Form 990)

Department of the TreasuryInternal Revenue Service

NAMI - Georgia, Inc.

lji^ Orga

Comi

Supplemental Financial Statements► Complete if the organization answered "Yes," to Form 990,

Part IV, line 6, 7, 8, 9, 10, iia, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.► Attach to Form 990.

► Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No 1545-0047

20013

58-1466482

ions Maintaining Donor Advised Funds or Other Similar Funds or Accounts.if the organization answered "Yes" to Form 990, Part IV, line 6.

(a) Donor advised funds (b) Funds and other accounts

1 Total number at end of year . . . . .

2 Aggregate contributions to (during year) .

3 Aggregate grants from (during year) . .

4 Aggregate value at end of year . . . .5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised

funds are the organization's property, subject to the organization's exclusive legal control? . . . . . . q Yes q No

6 Did the organization inform all grantees , donors , and donor advisors in writing that grant funds can be usedonly for charitable purposes and not for the benefit of the donor or donor advisor , or for any other purposeconferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . q Yes q No

Conservation Easements.

Complete if the organization answered "Yes" to Form 990 , Part IV, line 7.1 Purpose(s) of conservation easements held by the organization (check all that apply).

q Preservation of land for public use (e.g., recreation or education) q Preservation of an historically important land area

q Protection of natural habitat q Preservation of a certified historic structure

q Preservation of open space2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation

easement on the last day of the tax year. Held at the end of the Tax Year

a Total number of conservation easements . . . . . . . . . . . .

b Total acreage restricted by conservation easements . . . . . . . . .2a2b

c Number of conservation easements on a certified historic structure included in (a) . . . . 2cd Number of conservation easements included in (c) acquired after 8/17/06, and not on a

historic structure listed in the National Register . . . . . . . . . . . . . . . 2d3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the

tax year ►---------------------------

4 Number of states where property subject to conservation easement is located ►----------------------

5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling ofviolations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . q Yes q No

6 Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year

Do, ----------------------7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year

-------------------8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)

() and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes q No

9 In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, andbalance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes theorganization's accounting for conservation easements.

Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets.Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

la If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance ofpublic service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance ofpublic service, provide the following amounts relating to these items:

(i) Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . ► $-----------------------------

(q Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . ► $-----------------------------

2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide thefollowing amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

a Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . ► $-----------------------------

b Assets included in Form 990, Part X . ► $

For Paperwork Reduction Act Notice, see the Instructions for Form 990 . Cat. No 52283D Schedule D (Form 990) 2013

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Schedule D (Form 990) 2013 Page 2

WRM Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets (continued)

3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of itscollection items (check all that apply):

a q Public exhibition d q Loan or exchange programs

b q Scholarly research e q Other-----------------------------------------------------------------

c q Preservation for future generations4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part

XIII.

5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similarassets to be sold to raise funds rather than to be maintained as part of the organization's collection ? . q Yes q No

RiU" Escrow and Custodial Arrangements.

Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form990, Part X, line 21.

la Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets notincluded on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes q No

b If "Yes," explain the arrangement in Part XII1 and complete the following table:Amount

c Beginning balance . . . . . . . . . . . . . . . . . . . . . . 1c

d Additions during the year . . . . . . . . . . . . . . . . . . . 1d

e Distributions during the year . . . . . . . . . . . . . . . . le

f Ending balance . . . . . . . . . . . . . . . . . . . . . . . if

2a Did the organization include an amount on Form 990, Part X, line 21 ? . . . . . . . . . . . . . q Yes q No

b If "Yes," explain the arran gement in Part XIII. Check here if the explanation has been provided in Part XIII q

Endowment Funds.Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

la Beginning of year balance . . .

b Contributions . . . . . . .c Net investment earnings, gains, and

losses . . . . . . . . . .

d Grants or scholarships . . . .e Other expenditures for facilities and

programs . . . . . . . . .

f Administrative expenses . . . .

g End of year balance . . . .

2 Provide the estimated percentage of the current year end balance (line 1 g, column (a)) held as:a Board designated or quasi-endowment ► _________ %

b Permanent endowment ► 100%------------------

c Temporarily restricted endowment lo %-------------------

The percentages in lines 2a, 2b, and 2c should equal 100%.3a Are there endowment funds not in the possession of the organization that are held and administered for the

organization by: Yes No() unrelated organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(i) 3

(ii) related organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . a(ii) 3

b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? . . . . . . . 3b4 Describe in Part XIII the intended uses of the organization's endowment funds.

No= Land , Buildings , and Equipment.

Complete if the organization answered "Yes" to Form 990, Part IV, line 11 a. See Form 990, Part X, line 10.Descnption of property (a) Cost or other basis

(investment)(b) Cost or other basis

(other)(c) Accumulated

depreciation(d) Book value

la Land . . . . . . . . . . .

b Buildings . . . . . . . . . .

c Leasehold improvements

d Equipment . . . . . . . . . 51,178 51,178 0e Other . .

Total. Add lines la through le. (Column must equal Form 990, Part X, column (B), line 10(c). ) . 10- 0

(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back

19,000 19,000 19 ,000 19,000 19,000

1,322 957 695 501 570

1,322 957 695 501 570

19,000 19,000 19,000 19, 000 19,000

Schedule 0 (Form 990) 2013

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Schedule D (Form 990) 2013 Page 3

Investments - Other Securities.Complete if the organization answered "Yes" to Form 990, Part IV, line 11 b. See Form 990, Part X, line 12.

(a) Description of security or category (b) Book value (c) Method of valuation:(including name of security ) Cost or end-of-year market value

(1) Financial derivatives . . . . . . . . . . . . . . .(2) Closely-held equity interests . . . . . . . . . . . . .(3) Other

----------------------------------------------------------------------------------(A)

----(6i----------------------------------------------------------------------------------------------

(C)-----------------------------------------------------------------------------------------------

(D)

(E^ ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

(^-----------------------------------------------------------------------------------------------

(G)-----------------------------------------------------------------------------------------------

(H)-----------------------------------------------------------------------------------------------Total. (Column (b) must equal Form 990, Part X, col. (B) line 12) ►

Investments - Program Related.Complete if the organization answered "Yes" to Form 990. Part IV. line 11 c. See Form 990. Part X. line 13.

(a) Description of investment (b) Book value (c) Method of valuationCost or end-of-year market value

(1)

(2)

(3)

(4)

(5)

(6)

M(8)

(9)Total. (Column (b) must equal Form 990, Part X, col. (B) line 13.) ►Rio= utner Assets.

Complete if the organization answered "Yes" to Form 990, Part IV , line 11 d. See Form 990 , Part X, line 15.(a) Description (b) Book value

Total . (Column (b) must equal Form 990, Part X, col. (B) line 15.) . . . . . . . . . . . . . . ►Other Liabilities.

Complete if the organization answered "Yes" to Form 990, Part IV, line 11 a or 11 f. See Form 990, Part X,line 25.

1. (a) Description of liability (b) Book value

(1) Federal income taxes

(2)

(4)

(5)

(6)

(7)

(9)

Total. (Column (b) must equal Form 990, Part X col. (B) line 25.) ►2. Liability for uncertain tax positions . In Part XIII, provide the text of the footnote to the organization's financial statements that reports theorganization ' s liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII D

Schedule D (Form 990) 2013

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Schedule D (Form 990) 2013 Page 4

Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.Complete if the organization answered "Yes" to Form 990, Part IV, line 12a.

1 Total revenue, gains, and other support per audited financial statements . . . . . . . . . 1 519,2972 Amounts included on line 1 but not on Form 990, Part VIII, line 12: '"a Net unrealized gains on investments . . . . . . . . . . . . 2a 955 ^= 'b Donated services and use of facilities . . . . . . . . . . . 2bc Recoveries of prior year grants . . . . . . . . . . . . . . 2cd Other (Describe in Part XIII.) . . . . . . . . . . . . . 2de Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . 2e 955

3 Subtract line 2e from line 1 . . . . . . . . . . 3 518,3424 Amounts included on Form 990, Part VIII, line 12, but not on line 1: { •' 'a Investment expenses not included on Form 990, Part VIII, line 7b . 4ab Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4bc Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . 4c

5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part 1, line 12.) . . . . . . . 5 518,342LEM Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.

Complete if the organization answered "Yes" to Form 990, Part IV, line 12a.1 Total expenses and losses per audited financial statements . . . . . . . . . . . . . 1 614,0392 Amounts included on line 1 but not on Form 990, Part IX, line 25:a Donated services and use of facilities . . . . . . . . . . . 2ab Prior year adjustments . . . . . . . . . . . . . . 2bc Other losses . . . . . . . . . . . . . . . . . . . . 2cd Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 2de Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . 2e

3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . 3 6 1 4,0394 Amounts included on Form 990, Part IX, line 25, but not on line 1:a Investment expenses not included on Form 990, Part VIII, line 7b . 4ab Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4bc Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . 4c

5 Total expenses. Add lines 3 and 4c. (this must equal Form 990, Part line 18.) . . . . . . . 5 614,039Supplemental Information.

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1 a and 4; Part IV, lines 1 b and 2b; Part V, line 4; Part X, line2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

PartV, Line 4:----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

The income from the Organization's endowment funds is unrestricted and this-income-is-used-to support-general-operations.----------------------------- --------------------------------- --- -- -------------------------------------------

Schedule D (Form 990) 2013

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Schedule 0 (Form 990) 2013 Page 5

• Supplemental Information (continued)

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Schedule D (Form 990) 2013

Page 26: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

SCHEDULE GSupplemental Information Regarding Fundraising or Gaming Activities OMB No 1545-0047

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19 , or if the OForm 990 or 990-EZ) organization entered more than $15,000 on Form 990- EZ, line 6a.

Department of the Treasury IN- Attach to Form 990 or Form 990-EZ. • . -Internal Revenue Seance ► Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www. irs.gov/form990. • -

Name of the organization Employer identification number

NAMI - Georg ia , Inc. 58- 1466482

Fundraising Activities . Complete if the organization answered "Yes" to Form 990, Part IV, line 17.Form 990-EZ filers are not required to complete this part.

1 Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a q Mail solicitations e q Solicitation of non-government grants

b q Internet and email solicitations f q Solicitation of government grantsc q Phone solicitations g q Special fundraising eventsd q In-person solicitations

2a Did the organization have a written or oral agreement with any individual (including officers, directors, trusteesor key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? q Yes q No

b If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to becompensated at least $5,000 by the organization.

(^ Name and address of individualor entity (fundraiser)

() Activity(ii) Did fundraiser havecustody control of

contributions?buttonsol̂

(m) Gross receiptsfrom activity

(v) Amount paid to(or retained by)

fundraiser listed incol p)

(vq Amount topaid(or retained by)organization

Yes No

1

2

3

4

5

6

7

8

9

10

Total ►3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from

registration or licensing.

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For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EL Cat No 500a3H Schedule G (Form 990 or 990-EZ) 2013

Page 27: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Schedule G (Form 990 or 990-EZ) 2013 Page 2

Fundraising Events . Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported morethan $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with

gross receipts greater than $5,000.

(a) Event #1 (b) Event #2 (c) Other events(d) Total events

NAMI Walk (add col. (a) through

(event type) (event type) (total number)-I (c))

N

I Gross receipts . . . . 102,817

2 Less: Contributions

3 Gross income (line 1 minusline 2) . . . . . 102.817

4 Cash prizes . . . .

1

5 Noncash prizes . . .

v,6 Rent/facility costs . . .

a.W 7 Food and beverages . . 3,859 3,859

d8 Entertainment . .

9 Other direct expenses 33,618 1 1 33,618

10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . ► 37,47711 Net income summary. Subtract line 10 from line 3, column (d) . . . . . . . . . . ► 65,340

Gaming . Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported morethan $15,000 on Form 990-EZ, line 6a.

j (a) Bingo (b) Pull tabs/instant(c) Other gaming (d) Total gaming (add

u)bingo/progressive bingo col (a) through col. (c))

da: 1 Gross revenue . . . .

M 2 Cash prizesv,cm. 3 Noncash prizesw

4 Rent/facility costs . . .0

5 Other direct expenses

q Yes % q Yes % q Yes IN,------- ------------ -----------

6 Volunteer labor . . . q No q No q No

7 Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . ►

8 Net gaming income summary. Subtract line 7 from line 1, column (d) . . . . . . . . ►

9 Enter the state(s) in which the organization operates gaming activities:---------------------------------------------------------------------------

a Is the organization licensed to operate gaming activities in each of these states? . . . . . . . . . q Yes q Nob If "No," explain:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------10a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? q Yes q No

b If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 28: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

. .

Schedu le G (Form 990 or 990-EZ) 2013 Page 3

91 Does the organization operate gaming activities with nonmembers? . . . . . . . . . . . . . q Yes q No12 Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming ? . . . . . . . . . . . . . . . . . . . . . . q Yes q No13 Indicate the percentage of gaming activity operated in:

a The organization's facility . . . . . . . . . . . . . . . . . . . . . . . . . 13a %b An outside facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13b %

14 Enter the name and address of the person who prepares the organization's gaming/special events books andrecords:

Name ►------------------------------------------

Address ►

15a Does the organization have a contract with a third party from whom the organization receives gamingrevenue? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes q No

b If "Yes," enter the amount of gaming revenue received by the organization ► $-------------------

and theamount of gaming revenue retained by the third party ► $

--------------------c If "Yes," enter name and address of the third party:

Name ►

Address ►----------------------------------------------------------

16 Gaming manager information:

Name ►

Gaming manager compensation ► $

Description of services provided ►

q Director/officer q Employee q Independent contractor

17 Mandatory distributions:a Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . . . . . . q Yes q Nob Enter the amount of distributions required under state law to be distributed to other exempt organizations or

spent in the organization's own exempt activities during the tax year ► $

Supplemental Information . Provide the explanations required by Part I, line 2b, columns (iii) and (v), andPart III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide anyadditional information (see instructions).

Schedule G (Form 990 or 990-EZ) 2013

Page 29: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

.

SCHEDULE 0 Supplemental Information to Form 990 or 990-EZ OMB No 1545-0047

(Form 990 or 990-EA Complete to provide information for responses to specific questions on OForm 990 or 990-EZ or to provide any additional information.

Departmentof the Treasury 0- Attach to Form 990 or 990-EZ. • • • •

Internal Revenue Service ► Information about Schedule 0 (Form 990 or 990-EZ) and its instructions is at www.irs.gov1form990.

Name of the organization Employer identification number

MIAMI - (:anrnin inr SR_1dRr.4R2

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Form 990, Part VI, Section B, 11b:------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Management reviews the -Form-990- in detail and then it is sent to the organization's treasurer to review. The-forms- are-then- submitted-----------

on-line-to-the-board-members to-review.-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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Form-990, -Part -VI, -Section-B-12c:------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

The-Organization has a written -conflict-of interestpolicy for its board members-and--

key employees .The forms are required to completed ------a------- - - - - - - - - - - - - - - - --

nnually.--------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Form 990 , Part VI, Section C, Line 19:----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

TheOrganization makes itsgoverning documents,-conflict of interestpolicy and financial statements available to the general public-upon-----

request.

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For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EL Cat. No 51056K Schedule 0 (Form 990 or 990-EZ) (2013)

Page 30: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

NAME GeorgiaBoard of DirectorsAs of 04/30/2014

Name Officer Email Address 1 Address 2 City State Zip Code Affiliate

Margaret Collier [email protected] 3715 Peachtree Dunwoody Rd Atlanta GA 30342 Gwinnett

Joe Davis Idavis(dtmvmec.org 1276 Howell Br. Rdl Ball Ground GA 30107 Fannin, Gilmer, Pickens

Alison Dawson alison(atotal-alant.com 4622 Villa Chase Drive Marietta GA 30068 Northside

Jim Degroot [email protected] #2 Martin Luther King Dr Atlanta GA 30334 Northside

Nora Haynes nonahavnesp_me.com 203 Townsend Place NW Atlanta GA 30327 Savannah

Martee Horne President prqIsident(^namiga.org 1170 Grey Drive Bogart GA 30622 Athens

Bill Kissel [email protected] 3805 Hunting Ridge Dr. Ulbum GA 30047 Gwinnett

Mimi Marlowe [email protected] 330 ell Court Atlanta GA 30342 Northside

Bonnie Moore imbm71t0 bellsouth.net 504 E. 9"' St Rome GA 30161 Rome

Jane Osborn osOo1933@bellsouth;net 3027 Wendover Rd. Valdosta GA 31602 Brooks

Bill Roberts Treasurer [email protected] 1445 Epping Forest Drive Atlanta GA 30319 Northside

Vanessa Shoop VP vanessashoop(gmail.com 4549 Tiffany Lane Loganville GA 30052 Gwinnett

As Smith as^leysmith99©gmail.com 2983 Jones Street East Point GA 30344 Atlanta-Aubum

Faye Taylor fa e.m.ta or mail. m 110 Bastogne Dr. Eatonton GA 31024 FDL

Valerie West Secretary vaferie.west namiga.org 83 Robert Taylor Road LaGrange GA 30240 Columbus

sMvcrrn

Page 31: Return ofOrganization ExemptFrom IncomeTax · 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses

Form 8868

(Rev January 2014}.

Department of the TreasuryInternal Revenue Servi ce

Application for Extension of Time To File anExempt Organization Return

► File a separate application for each return.► Information about Form 8868 and its instructions is at www.irs.gov1form8868.

OMB No 1545-1709

• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box . . . . . . . . . . ►• If you are filing for an Additional (Not Automatic) 3-Month Extension , complete only Part II (on page 2 of this form).

Do not complete Part ll unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.

Electronic filing (e-file). You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months fora corporation required to file Form 990-T), or an additional (not automatic) 3-month extension of time. You can electronically file Form8868 to request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, InformationReturn for Transfers Associated With Certain Personal Benefit Contracts, which must be sent to the IRS in paper format (seeinstructions). For more details on the electronic filing of this form, visit www.irs.gov/efile and click on a-file for Charities & Nonprofits.

Automatic 3-Month Extension of Time. Only submit original (no copies needed).A corporation required to file Form 990-T and requesting an automatic 6-month extension-check this box and completePart I only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► qAll other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of timeto file income tax returns.

Enter filer's identifying number, see instructions

Type orName of exempt organization or other filer, see instructions. Employer identification number (EIN) or

print NAMI - GEORGIA, INC. 58- 1466482

File by theNumber, street, and room or suite no If a P O. box, see instructions Social security number (SSN)

due date for 3180 PRESIDENTIAL DR., SUITE Afiling your City, town or post office, state, and ZIP code For a foreign address, see instructions.return Seeinstructions ATLANTA, GA 30340

Enter the Return code for the return that this application is for (file a separate application for each return) . . . . . . 0 1

ApplicationIs For

ReturnCode

ApplicationIs For

ReturnCode

Form 990 or Form 990-EZ 01 Form 990-T (corporation ) 07Form 990-BL 02 Form 1041-A 08Form 4720 (individual) 03 Form 4720 (other than individual) 09Form 990-PF 04 Form 5227 10Form 990-T (sec. 401(a) or 408(a) trust) 05 Form 6069 11Form 990-T (trust other than above) 06 Form 8870 12

• The books are in the care of ► CAROL MCENTEE

Telephone No. ► 770-234-0855 Fax No. ► 770-234-0237

• If the organization does not have an office or place of business in the United States, check this box• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)

for the whole group, check this box . . . ► q . If it is for part of the group, check this boxa list with the names and EINs of all members the extension is for.

. . ► q and attach

I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of timeuntil DECEMBER 15 , 20 _14 , to file the exempt organization return for the organization named above. The extension is

-----------------for the organization's return for:

► q calendar year 20 or

► O tax year beginning MAY 1 , 20 13 , and ending APRIL 30 , 20 14

If the tax year entered in line 1 is for less than 12 months , check reason : E] Initial return [I Final return

q Change in accounting period3a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any

nonrefundable credits. See instructions.

b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits andestimated tax payments made. Include any pnor year overpayment allowed as a credit.

c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by usingEFTPS (Electronic Federal Tax Payment System). See instructions.

. . . . . . . .. If this is

Caution . If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 8879-EO for paymentinstructions

For Privacy Act and Paperwork Reduction Act Notice , see instructions . Cat No 27916D Form 8868 (Rev. 1-2014